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ELIZABETH A. NEVILLE Town Hall, 53095 Main Road
TOWN CLERK 4 4 P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS G @ 1
MARRIAGE OFFICER . (� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICERC °‘�� Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER 'UNTI+ ���� southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 3448 R Residential X Non-Residential
Fee $ 10.00 Septic X Cesspool
PERMIT ISSUED TO:
Name : ROBERT KRUDOP
Address 1: 4650 OLD JULE LANE
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
-NEW HOUSE
-FINAL APPROVAL REQUIRED FROM THE SUFFOLK COUNTY HEALTH DEPARTMENT
Name Of Owner KELLY KRUDOP
Mailing Address 1 4650 OLD JULE LANE
City St Zip MATTITUCK NY 11952
Property Address 1 50 TUTHILL ROAD
City St Zip CUTCHOGUE NY 11935
Tax Map No. section 96.00 block 1 lot 6.000
Cross Street C.R.48
Building Permit Number Cross Reference:
Issue Date: 6/08/06 Elizabeth A. Neville
Southold Town Clerk
(TOWN SEAL)
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ELIZABETH A. NEVILLE '` 4 Town Hall, 53095 Main Road
TOWN CLERK 4 4 , P.O. Box 1179
Southold, New York 11971
REGISTRAR OF VITAL STATISTICS G @ I
MARRIAGE OFFICER -4O �1 Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER Veen 'mI ��, Fax
(631) 765-1800
FREEDOM OF INFORMATION OFFICER "U'`�►'+ isoutholdtown.northfork.net
r -0 r
-71
)FFICE OF THE TOWN CLERK
" 7 ? 5 TOWN OF SOUTHOLD
TO - Southold Town BjIilding Department
FROM: Michelle L. Martocchia, Southold Town Clerk's Office
DATED: June 7, 2006
RE: Cesspool Construction/Alteration Application
Transmitted herewith is a copy of application No. 3605 for a Cesspool/Septic Tank
Construction/Alteration Permit submitted by:
Robert Krudop
Please review the application and location map and advise if this office may issue the permit.
Please complete the form below and return it to me. Thank you.
* * * * * * * * * * * *
I have reviewed the application and location map of the project cited above and make the following
recommendations:
APPROVE
DISAPPROVE _
Comments: e,
Signature
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Dated
��,OSUFFQ��;-
�v`t�� C; _Town 53095 Main Road
ELIZABETH A.NEVILLE ,�� 4.%� Hall,
TOWN CLERK ; P.O. Box 1179
2 ; Southold, New York 11971
REGISTRAR.OF VITAL STATISTICS W Al i
MARRIAGE OFFICER : O '�,�� Fax (631) 765-6145
RECORDS MANAGEMENT OFFICER -.y?f� �OT•I Telephone (631) 765-1800
FREEDOM OF INFORMATION OFFICER = '� * �'��' southoldtown.northfork.net
OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISTRIC 1 'L \L-1\S
APPLICATION
CONSTRUCTION or ALTERATION PERMIT
CESSPOOL or SEPTIC TANK
Residential @$10or Non-Residential @$25 Application No. (p05
Permit No.
Pp
A licant Name —R\ -1' kr )c
Applicant Mailing Address (1(0`7O O/e 1-_ 1
Tho49-' pe ligsZ.—
Septic Tank or Cesspool
Brief Description of Proposed Construction or Alteration OP.A"..) 4co s�
Location of Proposed Construction/Alteration:
Owner of Property: l(efly (1-t.7310
Owner Mailing Address: 61-(A-C) Gke-3 e -r
McAt-k)dc W 11(3,s
Owner Property Address: cj cc T \ ik\ .Z
arink,
') t Pe 1 t°153
Name and phone number of contact person p�(B=70c7 s- 7S- 7 ,
Tax Map No: Section 4c� Block 01 Lot GC,
Cross Street '1.-t-(4-.
NOTE: LOCATION MAP MUST BE SUBMITTED WITH APPLICATION. NEW
CONSTRUCTION REQUIRES SURVEY WITH ' . TH DEP• 'TMENT APPROVAL
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Signature s f Applic: I,at,
Received y: \ i`- ( ,j-19-,eQ
- TEST HOLE DATA ,, ,-.,:-.0
N(TEST HOLE LOG PROVIDE) BY OWNL -` 'a
-k.„,� ,y9 SURVEY O F PROPERTY
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BROWN ��n LOAM
���� SITUATED AT
.s� s G YISH BR ML CUTCH 0 G U F:
�;� �� u If°sQ, Y/7,\� BROWN LOAMY SAND SM TOWN OF S O U T H O L D
°0'� BROWN SILTY SAND SUFFOLK COUNTY NEW YORK
°4 `O� �4 8'
S.C. TAX No. 1000-96-01 --06
F
�[1 ��Q' 4
AlWIAINE T CON SE SAID
°\�"'vYY��� o4,- • SCALE 1 "=20'
.w,�3�QJm� ,of�oA o FEBRUARY 26, 2001
' ) a r& s F��F COURSE SAND �,, MARCH 15, 2005 ADDED PROPOSED HOUSE
�° sF 0� BROWN FINE TO JUNE 12, 2005 ADDED TEST HOLE.
J
M0 c' O'%'' 'iV 4s�s, AREA = 9,334.08 sq. ft.
N ti c 1fr 'ff 1 I 0.214 ac.
`�� "°F ��T�'Q� 1 OWNER &_ APPLICANT
N 3g. ry �0 ROBERT KRUDOP
o= P.O. BOX 1042o / NOTES: MATTITUCK, N.Y. 11952 1
6(,--%70
`' `�- .Q /0 1 . MINIMUM SEPTIC TANK CAPACITY IS 1 ,000 GALLONS.
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N. A 1 TANK; 8' LONG, 4'-3" WIDE, 6'-7" DEEP
�'`'
••4i),• 6 °. �Q ��= 2. MINIMUM LEACHING SYSTEM IS 300 sq ft SIDEWALL AREA. I
4 A.
�' ~ ( ."--...V ° 1 POOL; 12' DEEP, 8' dia.
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./.�� �, �,� i Cl. ioa ' �' t:i:•••::' PROPOSED EXPANSION POOL
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/((‘' / / le. PROPOSED LEACHING POOL
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'k4T TEST HOLE p)< PROPOSED SEPTIC TANK
°nA �jfraP��/ �^ 1 . ELEVATIONS ARE REFERENCED TO AN ASSUMED DATUM
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EXISTING ELEVATIONS ARE -SHOWN
THUS:'''4' a // PREPARED IN CCORMNCE WITH THE
MIWMUM
i,• tRLf SURVEYS AS ESTABLISHED DNNN-N � r a 0
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QJ .. APPROVED AND ADOPTED
1NEW YORK STAIT LANDSTT ly GG9S °Nc " ,
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_v J� Jj �� N.Y.S. Lic. No. 50467
��S O SU�FF �,p ,' 'LTi NT(}l HEALTH 8'Ft'JT ° 4 777 �,, -7�A'R
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UNAUTHORIZED ALTERATION OR ADDRION -- I.7.
l jfn�74T O TO TMS SURVEY IS A NOLAiION OF
A� 4i P--' APPROVAL OF COr iTC IO Y 7'�CM g, a SECTION 7209 OF THE NEW YORK STATE
i�klL(.i!! ° EDUGTgN NAW.
11116. 'WOW"
e�% �� \S1 G�,/ A"; '�, RESIDENCE ONLY COPIES OF ,MS P NOT R INC Nathan Taft Corwin III
�qTc \ .K - T,$ LAND SURVEYOR'S LAKED SEAL OR
R) J A •. ,\\\\ \V{�j /� ��yy EMBOSSED SEAL SHALL NOT RE CONSIDERED
. �, .l.c,. \Q.. TO BE A VAUD TRUE COPY. Land Surveyor ,
•
,,EyYy CERTIFICATIONS INDICATED HEREON SHALL RUN
"LPPRO Cis,v ONLY TO THE PERSON FOR WHOM THE SURVEY
„ ,,. ��� IS PREPARED, AND ON MS BEHALF TO THE
//��y� TITLE COMPANY,GOVERNMENTAL IGQICY MND
FOR ' . ' t: LENDING INSTITUTION LISTED HEREON. AND
�-""-"� f" 'jI ..... .,,.33(.vR(JpIYL-r�i NDING MISTI-
-woN CERTIFICATIONS HE ASSIGNEES THE NO TRANSFERABLE 992 Roanoke Avenue ,
EXPIRES _` PP i THE EXISTENCE a RIGHT OF WAYS
THSA til. FROM DATE APPROVAL AND/OR EASEMENTS OF RECORD. IF Riverhead, New York 11901
ANY. NOT SHOWN ARE NOT GUARANTEED. PHONE & FAX (631)369-5473
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